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目的探讨80岁以上老年高血压的降压治疗方法及安全性。方法回顾分析80岁以上老年高血压血压控制的临床资料。结果选用1种降压药占32%,2种以上占68%;选用CCB占52%,β受体阻滞剂占55.2%,利尿剂占19.2%,ACEI占24%,ARB占46.4%。血压由(175.64±19.31)/(99.13±13.11)mmHg,降至(125.15±14.55)/(73.70±8.83)mmHg,治疗前后比较差异有统计学(P<0.001),未见体位性低血压。结论老年人降压应个体化,平均血压降至125/74mmHg也安全。
Objective To investigate the antihypertensive treatment and the safety of elderly over 80 years old. Methods The clinical data of blood pressure control in elderly over 80 years old were retrospectively analyzed. Results One kind of antihypertensive drugs was used in 32% and two kinds of drugs were more than 68%. CCB accounted for 52%, β-blockers 55.2%, diuretics 19.2%, ACEI 24% and ARB 46.4%. The blood pressure decreased from (175.64 ± 19.31) / (99.13 ± 13.11) mmHg to (125.15 ± 14.55) / (73.70 ± 8.83) mmHg, with statistical difference before and after treatment (P <0.001). No orthostatic hypotension was found. Conclusion The elderly should be individualized antihypertensive, the average blood pressure dropped to 125 / 74mmHg also safe.